Mary Kathleen Jennings MD

NPI 1679741839 - Pediatrics - 208000000X

NPI Details
NPI 1679741839
Gender Female
Enumeration Date 02/11/2008
Last Updated 06/12/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
84 MARGINAL WAY
SUITE 1000
PORTLAND ME, 04101-1392, US
Phone (207) 774-4092
Fax (207) 523-8596
Business Location
100 FODEN RD
SUITE 203
SOUTH PORTLAND ME, 04106-2327, US
Phone (207) 828-0361
Fax (207) 874-1483
Toxanomy
Taxonomy Code 208000000X
License State Maine
License Number 016582
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According to our database, Mary Kathleen Jennings MD NPI is 1679741839, taxonomy code is 208000000X and license number is 016582, license state is located at Maine. Mary Kathleen Jennings MD physically located at 84 Marginal Way, Portland ME, 04101-1392. NPI Number Mary Kathleen Jennings MD has the Individual type.

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1679741839 NPI number is provided on an as is basis without warranty of any kind. 1679741839 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Kathleen Jennings MD are for informational purposes only.